Prevacid Weaning??

Jonah’s getting off the meds: https://www.infantreflux.org/forum/forum_posts.asp?TID=2057&a mp;PN=1&TPN=1

We were told by our GI that cutting out a PPI cold turkey will cause a rebound effect by the parietal cell to dramatically increase acid production (i.e. the stomach will produce even more acid worsening reflux). He also said that PPIs should be weaned very slowly over the course of several months to avoid this. Not sure if it’s true or not (not even sure why he was talking about weaning since it’s not going to happen any time soon around here!).

So Joel, when it’s time to wean do you drop one dose per day, and then gradually drop other doses? Or, do you lower the amt of each dose gradually? How low do you have to go until you stop altogether?

How long should the weaning process last?

Thanks. (Our doctors never seem to tell us these things)

Glad to know he’s right about something, Joel. Even though we’re not seeing this guy anymore.

Lori,

It is better to slowly lower the dose than to lower the frequency, but keep in mind that with Zegerid you don’t want to go below that threshold of 3.5 mL at a 2mg/mL concentration or you risk the drug’s being degraded in the stomach. Dr Phillips recommends TID (three times daily) dosing until at least 2 years old.

Mama Lloyd,

Most reflux babies don’t get significantly better until about 18 months, or about the time they start walking. Some people say that babies “walk away from reflux” for this reason.